OBSTETRIC OUTCOME IN SHORT STATURED WOMEN- A TERTIARY CARE REFERRAL CENTRE EXPERIENCE FROM SOUTH INDIA

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OBSTETRIC OUTCOME IN SHORT STATURED WOMEN- A TERTIARY CARE REFERRAL CENTRE EXPERIENCE FROM SOUTH INDIA

Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 12

Abstract

BACKGROUND Maternal height is one of the parameters which significantly affects the obstetric performance. Short statured women may have small pelvis and are reported to have higher rates of perinatal mortality, low birth weight and operative delivery. Objective- To find out the relationship between maternal height and obstetric outcome with emphasis on the mode of delivery and neonatal outcome. MATERIALS AND METHODS This Descriptive study was carried out in the Department of Obstetrics and Gynaecology, Institute of Maternal and Child Health (IMCH), Govt. Medical College, Kozhikode, over a period of one year from November 2007 to October 2008. Since the study duration was short, we had to limit the sample size for convenience. Primigravida having singleton pregnancies, cephalic presentation and sure date of LMP with no medical and obstetric complications were selected from antenatal clinic of IMCH. Those with height < 145 cm formed and those with height > 145 cm formed were considered. A semi-structured proforma which contain demographic, antenatal and anthropometric details as well as obstetric and neonatal outcomes were recorded. Pregnancy and foetal outcome were compared using student’s ‘t’ test and chi-square test. RESULTS Out of 467 primigravida, 227 women with height < 145 cm formed the study group and the rest 240 formed the control group. The incidence of LSCS in short women was 32.1% compared to 10% in tall women (p < 0.001), which is highly significant. In short statured women, 53% had LSCS due to CPD, whereas in taller women 25% had LSCS for CPD (Z= 4.525, P < 0.0001). CPD was the indication for LSCS in 71.4% of mothers with height < 135 cm and the percentage of CPD decreased with increase in the maternal height. Significant number of babies born to short statured mothers were asphyxiated (11% vs 3.33%) and required NICU admission (17.6% vs 4.58%) in comparison to babies born to mothers of control group. CONCLUSION Women with short stature are high-risk population for poor pregnancy outcome. Short statured women are more likely to undergo LSCS for CPD and their babies are more asphyxiated at birth with higher rate of NICU admissions. The need for anthropometric assessment, partographic monitoring, prompt identification of CPD and early possible caesarean section as well as prompt neonatal care are crucial in the prevention of adverse maternal and perinatal morbidity in short statured women.

Authors and Affiliations

Lisha Govind K. V, Rajesh T. V

Keywords

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EP ID EP412014
DOI 10.14260/jemds/2018/327
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